On the abdomen (diaphragm) 1 case of pregnancy.docVIP

 PAGE \* MERGEFORMAT 7 On the abdomen (diaphragm) 1 case of pregnancy [Keywords:] abdominal cavity; diaphragm; pregnancy Abdominal pregnancy refers to pregnancy in the fallopian tubes, ovaries and broad ligament outside the abdominal cavity, an incidence of about 1:15000, maternal mortality rate was 5% fetal survival rate was 1 ‰, and often misdiagnosed, the total mortality rate of ectopic pregnancy mortality rate 17 times higher. now one case abdominal (diaphragmatic) reported the following pregnancy. 1 Case information Patients, 26 years old, married, pregnant 2 production 1, abortion 1, in April 2009 IUD insertion. Tubal pregnancy due to right upper quadrant pain 1 day after surgery, intra-abdominal hemorrhage, in September 2010 12 by the emergency of “abdominal pain of unknown origin, intra-abdominal hemorrhage,” income homes. Rules of patients with normal menstrual 7 / 28 days, the last menstrual period July 25, 2010, September 11 due to right lower abdominal pain with intermittent heavy feeling in anal, vaginal bleeding 5 days, add 1 day, at the local hospital diagnosed as “ ectopic pregnancy, “admitted the line laparotomy. preoperative urine pregnancy test twice (+), abdominal ultrasound showed B: peritoneal fluid, vaginal fornix after the puncture the blood was 10ml. operation record Description: See the right side of surgery isthmus pregnancy rupture and active bleeding, hemoperitoneum 1000 ml, surgery to remove diseased tissue and suture the fallopian tubes, exploration ovaries, uterus, left no abnormal attachments, without making surgical pathology specimens, postoperative anti-inflammatory and symptomatic treatment, and Red Blood Cell Transfusion 800ml. 6h started on postoperative abdominal pain, abdominal B-check the next morning said: ascites, surgical treatment was transferred to our hospital. hospitalized search: body temperature 37.6 ℃, pulse 116 / min, respiration 20 times / min, blood pressure 108/78mmHg, his face pale, heart,